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Development and analysis of D-RECT, an instrument measuring residents' learning climate.

机译:D-RECT的开发和分析,D-RECT是一种测量居民学习氛围的工具。

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BACKGROUND: Measurement of learning climates can serve as an indicator of a department's educational functioning. AIM: This article describes the development and psychometric qualities of an instrument to measure learning climates in postgraduate specialist training: the Dutch Residency Educational Climate Test (D-RECT). METHOD: A preliminary questionnaire was evaluated in a modified Delphi procedure. Simultaneously, all residents in the Netherlands were invited to fill out the preliminary questionnaire. We used exploratory factor analysis to analyze the outcomes and construct the definitive D-RECT. Confirmatory factor analysis tested the questionnaire's goodness of fit. Generalizability studies tested the number of residents needed for a reliable outcome. RESULTS: In two rounds, the Delphi panel reached consensus. In addition, 1278 residents representing 26 specialties completed the questionnaire. The Delphi panel's input in combination with the exploratory factor analysis of 600 completed surveys led to the definitive D-RECT, consisting of 50 items and 11 subscales (e.g., feedback, supervision, patient handover and professional relations between attendings). Confirmatory factor analyses of the remaining surveys confirmed the construct. The results showed that a feasible number of residents is needed for a reliable outcome. CONCLUSION: D-RECT appears to be a valid, reliable and feasible tool to measure the quality of clinical learning climates.
机译:背景:对学习气氛的测量可以作为部门教育功能的指标。目的:本文介绍了一种在研究生专业培训中测量学习气氛的工具的发展和心理质量:荷兰居住教育气候测试(D-RECT)。方法:采用改进的德尔菲程序评估初步问卷。同时,邀请了荷兰所有居民填写初步调查表。我们使用探索性因素分析来分析结果并构建确定的D-RECT。验证性因素分析检验了问卷的适合程度。泛化研究测试了获得可靠结果所需的居民人数。结果:在两个回合中,德尔菲小组达成了共识。此外,代表26个专业的1278位居民填写了问卷。 Delphi小组的输入与对600项已完成调查的探索性因素分析相结合,得出了确定的D-RECT,该D-RECT包括50个项目和11个分量表(例如,反馈,监督,患者移交和就诊之间的专业关系)。其余调查的验证性因素分析证实了该结构。结果表明,需要一定数量的居民才能获得可靠的结果。结论:D-RECT似乎是一种有效,可靠和可行的工具,可以用来衡量临床学习氛围的质量。

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